Organization Active NPI

Ali Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Kennesaw, GA
National Provider Identifier
1093513129
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ALI FOOT AND ANKLE LLC
Practice address
3161 Cobb Pkwy NW Ste 470
Kennesaw, GA 30152-1042
Phone
(888) 453-0080
NPI assigned
Mar 5, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sadia M Ali, DPMNPI 1467614438
Title
Owner
Phone
(678) 778-5903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250612003041 GA Part B Supplier - Clinic/Group Practice 3173034600 Receives reassigned benefits from 1 practitioner
Practice locations: Kennesaw, GA

National Provider Directory

National Provider Directory

Locations

3161 Cobb Pkwy NW
Ste 470
Kennesaw, GA 30152
Phone (678) 262-5108

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

NPPES NPI Registry

Primary practice location

3161 Cobb Pkwy NW Ste 470
Kennesaw, GA 30152-1042

Mailing address

1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794
Phone (888) 453-0080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2025.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1093513129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 205",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "888-453-0080",
            "fax_number": "224-732-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 COBB PKWY NW STE 470",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301521042",
            "telephone_number": "888-453-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SADIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-778-5903",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.